Copy responder link
Copy
Published
Sign in
Section 1 of 2
Landowner Worksheet
The following information needs to be completed and returned to UOL as the first steps in our conservation process. Please answer all questions below. Completion of this form does not constitute Utah Open Lands’ board approval and/or acceptance of any interest in the delineated property. Any questions on this form or other matters, should be directed to 801.463.6156 or Info@UtahOpenLands.org

Email
This form is collecting emails.Change settings
Loading image…
Loading...
Loading…
Section 2 of 2
OWNERSHIP
1. Property owner's name of record:
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
2. Landowner(s) are: 
Question Type
Loading image…
a) Individuals
b) a C-Corporation
c) a Grantor Trust
d) a Partnership
e) a Multi-member LLC
f) a Limited Partnership run by a General Partner
g) a S-Corporation
h) or a Non-grantor Trust
Other:
Add option
…
Answer key
(0 points)
Loading...
Loading…
3. Is property substantially all (over 90% of interest) owned by members of a family?
Question Type
Loading image…
Yes
No
Other:
Add option
…
Answer key
(0 points)
Loading...
Loading…
4. How long have you owned the property?
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
I understand that Utah Open Lands reviews each donation and any supporting appraisals to ensure compliance with federal and state tax requirements. I acknowledge that UOL may request documentation regarding my entity or ownership structure and may require a signatory attestation of its structure. I also understand that UOL may raise questions about the value or appraisal and may decline to participate in transactions that appear unusually high in value, involve pass-through entities, or exhibit characteristics of a syndicated or promoted tax transaction.
Question Type
Loading image…
I understand
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
Loading…
5. I am interested in:
Question Type
Loading image…
UOL accepting a Donation of a Conservation Easement
UOL accepting a Donation of Fee Title
UOL purchasing a Conservation Easement on my property (which will require a fundraising campaign)
UOL accepting a Partial Donation (in land value) and UOL providing remaining funds to acquire a Conservation Easement on your property
UOL accepting a Conservation Easement in conjunction with a Zoning Requirement and or a Regulatory Condition
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
Loading…
6. Your name:
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
7. Your Mailing Address:
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
8. Phone Number:
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
9. Location of Property (street address, or address from property tax notice, or legal description) include Township/City, State:
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
10. Parcel ID# or Tax ID# of all parcels in consideration, even if only partial parcel/s: (If unsure, your county tax bill reflects your parcel numbers.)
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
11. Current Use:
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
12. Acreage:
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
13. Documents you could provide to UOL for Baseline Documentation work:
Question Type
Loading image…
Aerial map
Topographic map
Plat map
Wildlife studies
Survey
Legal description
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
Loading…
14. Timeframe for preservation:
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
15. Has the property been appraised?
Question Type
Loading image…
Yes
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
Loading…
If yes, when?
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
16. Was the appraisal for
Question Type
Loading image…
Fee Title
Conservation Easement
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
Loading…
17. When was the most recent title report issued?
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Do you own water rights or shares attendant to this property?
Question Type
Loading image…
Yes
No
Maybe
Other:
Add option
…
Answer key
(0 points)
Loading...
Loading…
18. Are there any title issues that you are aware of which would prevent a grant of a conservation easement?
Question Type
Loading image…
Yes
No
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
Loading…
19. Are there any liens or mortgages on the property?
Question Type
Loading image…
Yes
No
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
Loading…
20. If yes, can the liens or mortgages be made subordinate to the easement?
Question Type
Loading image…
Yes
No
Maybe
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
Loading…
21. Of the existing easements on the property, are there rights-of-way easements that should be vacated prior to the grant?
Question Type
Loading image…
Yes
No
Maybe
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
Loading…
22. How long have you owned the property?
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
23. Are the mineral interests severed from the property?
Question Type
Loading image…
Yes
No
Maybe
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
Loading…
24. Are there trails currently on this property open to the public?
Question Type
Loading image…
Yes
No
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
Loading…
25. Will this property be publicly accessible?
Question Type
Loading image…
Yes
No
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
Loading…
26. Are there trails, trailheads, or public viewing areas contemplated for this property?
Question Type
Loading image…
Yes
No
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
Loading…
27. What is the proximity of this property to other protected lands (county, state, federal, non governmental)?
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
28. What is the proximity of this property to development or planned development?
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
29. Is this open space being dedicated as part of a planned development or through a regulatory process requiring that a certain amount of acreage be set aside?
Question Type
Loading image…
Yes
No
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
Loading…
30. Are you willing to contribute to Utah Open Lands' Stewardship (Defense) Fund for this property?
Question Type
Loading image…
Yes
No
Maybe
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
Loading…
31. Have you contacted any other organizations about the preservation of your land?
Question Type
Loading image…
Yes
No
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
Loading…
If yes, which ones?
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Why are you not working with any of the above organizations?
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
32. Are you aware of any toxic or hazardous materials on the property?
Question Type
Loading image…
Yes
No
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
Loading…
By initialing here, you are giving UOL authorization to represent to our funding partners your potential interest.
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
I agree to review and understand the compendium Utah Open Lands 'Landowner Guide' https://www.utahopenlands.org/_files/ugd/1828e8_89a60b2cb880461a8b064bf07f6a42a1.pdf 
Question Type
Loading image…
I agree
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
Loading…
33. Finally, what continued uses and reserved rights do you want to maintain or establish on the property?
Question Type
Loading image…
House / Cabin Site
Family Use
Farming / Ranching Activities
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
Loading…
By submitting this Landowner Worksheet you are attesting you have answered the above questions to the best of your knowledge.
Question Type
Loading image…
I attest, I have answered to the best of my knowledge
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
Loading…
Link to Sheets
Insights
Total points distribution
Loading...
Loading responses…
OWNERSHIP
1. Property owner's name of record:
Copy chart
No responses yet for this question.
2. Landowner(s) are: 
Copy chart
No responses yet for this question.
3. Is property substantially all (over 90% of interest) owned by members of a family?
Copy chart
No responses yet for this question.
4. How long have you owned the property?
Copy chart
No responses yet for this question.
I understand that Utah Open Lands reviews each donation and any supporting appraisals to ensure compliance with federal and state tax requirements. I acknowledge that UOL may request documentation regarding my entity or ownership structure and may require a signatory attestation of its structure. I also understand that UOL may raise questions about the value or appraisal and may decline to participate in transactions that appear unusually high in value, involve pass-through entities, or exhibit characteristics of a syndicated or promoted tax transaction.
Copy chart
No responses yet for this question.
5. I am interested in:
Copy chart
No responses yet for this question.
6. Your name:
Copy chart
No responses yet for this question.
7. Your Mailing Address:
Copy chart
No responses yet for this question.
8. Phone Number:
Copy chart
No responses yet for this question.
9. Location of Property (street address, or address from property tax notice, or legal description) include Township/City, State:
Copy chart
No responses yet for this question.
10. Parcel ID# or Tax ID# of all parcels in consideration, even if only partial parcel/s: (If unsure, your county tax bill reflects your parcel numbers.)
Copy chart
No responses yet for this question.
11. Current Use:
Copy chart
No responses yet for this question.
12. Acreage:
Copy chart
No responses yet for this question.
13. Documents you could provide to UOL for Baseline Documentation work:
Copy chart
No responses yet for this question.
14. Timeframe for preservation:
Copy chart
No responses yet for this question.
15. Has the property been appraised?
Copy chart
No responses yet for this question.
If yes, when?
Copy chart
No responses yet for this question.
16. Was the appraisal for
Copy chart
No responses yet for this question.
17. When was the most recent title report issued?
Copy chart
No responses yet for this question.
Do you own water rights or shares attendant to this property?
Copy chart
No responses yet for this question.
18. Are there any title issues that you are aware of which would prevent a grant of a conservation easement?
Copy chart
No responses yet for this question.
19. Are there any liens or mortgages on the property?
Copy chart
No responses yet for this question.
20. If yes, can the liens or mortgages be made subordinate to the easement?
Copy chart
No responses yet for this question.
21. Of the existing easements on the property, are there rights-of-way easements that should be vacated prior to the grant?
Copy chart
No responses yet for this question.
22. How long have you owned the property?
Copy chart
No responses yet for this question.
23. Are the mineral interests severed from the property?
Copy chart
No responses yet for this question.
24. Are there trails currently on this property open to the public?
Copy chart
No responses yet for this question.
25. Will this property be publicly accessible?
Copy chart
No responses yet for this question.
26. Are there trails, trailheads, or public viewing areas contemplated for this property?
Copy chart
No responses yet for this question.
27. What is the proximity of this property to other protected lands (county, state, federal, non governmental)?
Copy chart
No responses yet for this question.
28. What is the proximity of this property to development or planned development?
Copy chart
No responses yet for this question.
29. Is this open space being dedicated as part of a planned development or through a regulatory process requiring that a certain amount of acreage be set aside?
Copy chart
No responses yet for this question.
30. Are you willing to contribute to Utah Open Lands' Stewardship (Defense) Fund for this property?
Copy chart
No responses yet for this question.
31. Have you contacted any other organizations about the preservation of your land?
Copy chart
No responses yet for this question.
If yes, which ones?
Copy chart
No responses yet for this question.
Why are you not working with any of the above organizations?
No responses yet for this question.
32. Are you aware of any toxic or hazardous materials on the property?
Copy chart
No responses yet for this question.
By initialing here, you are giving UOL authorization to represent to our funding partners your potential interest.
Copy chart
No responses yet for this question.
I agree to review and understand the compendium Utah Open Lands 'Landowner Guide' https://www.utahopenlands.org/_files/ugd/1828e8_89a60b2cb880461a8b064bf07f6a42a1.pdf 
Copy chart
No responses yet for this question.
33. Finally, what continued uses and reserved rights do you want to maintain or establish on the property?
Copy chart
No responses yet for this question.
By submitting this Landowner Worksheet you are attesting you have answered the above questions to the best of your knowledge.
Copy chart
No responses yet for this question.
Settings
Responses
Manage how responses are collected and protected
Presentation
Manage how the form and responses are presented
Defaults
Form defaults
Settings applied to this form and new forms
Question defaults
Settings applied to all new questions
.